Rapoff A J, Heiner J P
University of Florida, Department of Aerospace Engineering, Mechanics and Engineering Science, Biomedical Engineering Program, Gainesville 32611-6250, USA.
Foot Ankle Int. 1999 May;20(5):337-9. doi: 10.1177/107110079902000514.
A case involving an isolated bony avulsion fracture of the extensor insertion on the distal phalanx of the great toe is described. The fracture was displaced 2 mm with 30 degrees dorsal angulation; the joint was congruent and not subluxed. The patient was treated nonsurgically with a rigid-soled sandal. Bony healing at the fracture site was clearly evident at 16 weeks postinjury. The patient began using a normal shoe at 10 weeks and resumed his running activities without pain at 16 weeks. The nonsurgical treatment of this injury, similar to that of a mallet finger, was successful.
描述了一例涉及拇趾远节指骨伸肌附着处孤立性骨撕脱骨折的病例。骨折移位2毫米，背侧成角30度；关节对位良好，无半脱位。患者采用硬底凉鞋进行非手术治疗。伤后16周时，骨折部位骨愈合明显。患者在10周时开始穿正常鞋子，并在16周时恢复跑步活动且无疼痛。该损伤的非手术治疗与锤状指的治疗相似，取得了成功。
